Talent.com
California Licensed Review Nurse

California Licensed Review Nurse

VirtualVocationsAloha, Oregon, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Pre-Service Review Nurse RN to work remotely in the Pacific or Mountain Time Zones.

Key Responsibilities

Conduct utilization management, including Prior Authorization Review for various care facilities

Evaluate medical appropriateness of care levels based on guidelines and benefit determinations

Provide guidance and solutions for complex issues and non-standard requests

Required Qualifications

Unrestricted RN License in California and state of residence

3+ years of Clinical Nursing experience

1+ years of Utilization Review and / or Prior Authorization experience in Managed Care

Basic computer skills with MS Outlook, Word, and Excel

Ability to work Mon-Fri 8-5 PST or MST and at least 2 weekend days per month

serp_jobs.job_alerts.create_a_job

Licensed California • Aloha, Oregon, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Clinic RN - MFM OR

Clinic RN - MFM OR

Providence Health and ServicesClackamas, OR, US
serp_jobs.job_card.part_time
Description The Journey Clinic RN provides comprehensive nursing care for patients in an ambulatory care environment based on individual physical, emotion...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Nurse Practitioner in Newport, OR

Nurse Practitioner (NP) - Nurse Practitioner in Newport, OR

LocumJobsOnlineSalem, Oregon, US
serp_jobs.job_card.full_time +1
LocumJobsOnline is working with The Inline Group to find a qualified Nurse Practitioner NP in Newport, Oregon, 97365!.Lincoln County Community Health Center -. New Graduates Welcome to Apply.Call Sc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Clinic Registered Nurse - MFM OR

Clinic Registered Nurse - MFM OR

Providence Health and ServicesClackamas, OR, US
serp_jobs.job_card.part_time
Description The Journey Clinic RN provides comprehensive nursing care for patients in an ambulatory care environment based on individual physical, emotion...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Home Health RN - OR Yamhill

Home Health RN - OR Yamhill

Providence Health and ServicesSalem, OR, US
serp_jobs.job_card.full_time
Description HOME HEALTH RN - Providence Home Services Yamhill, Oregon Schedule< / ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
RN Charge - Cardiac Telemetry

RN Charge - Cardiac Telemetry

Providence Health and ServicesHillsboro, OR, US
serp_jobs.job_card.full_time
Description Providence nurses are not simply valued – they’re invaluable.You will thrive in our culture of patient-focused, whole-person care built on und...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Registered Nurse - LDRP

Registered Nurse - LDRP

Providence Health and ServicesNewberg, OR, US
serp_jobs.job_card.full_time
Description RN – LDRP at Providence Newberg Medical Center.FTE, night shift opening (7pm-7 : 30am, 3, 12 hour shifts per week) with rotating w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Wound Ostomy Registered Nurse - Home Health

Wound Ostomy Registered Nurse - Home Health

Providence Health and ServicesNewberg, OR, US
serp_jobs.job_card.full_time
Description Wound Ostomy RN - Home Health- Providence Home Services- Oregon Schedule : Full Time / Days serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
RN - Psych Adolescent

RN - Psych Adolescent

Providence Health and ServicesHillsboro, OR, US
serp_jobs.job_card.full_time
Description RN – Psych Adolescent at Providence Willamette Falls Medical Center – 0.FTE, Full Time position on a Night shift &...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Neonatal in Portland, OR

Nurse Practitioner (NP) - Neonatal in Portland, OR

LocumJobsOnlinePortland, OR, US
serp_jobs.job_card.full_time
LocumJobsOnline is working with CompHealth to find a qualified Neonatal NP in Portland, Oregon, 97225!.Exciting opportunity for a Neonatal Nurse Practitioner to join a growing team in Portland.Inpa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
RN - Home Health

RN - Home Health

Providence Health and ServicesMcminnville, OR, US
serp_jobs.job_card.full_time
Description $5,000 hiring bonus for eligible external hires that meet required qualifications and conditions for payment < / ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Surgery - Orthopedic - $185,000 to $215,000 per year in Umatilla County, OR

Nurse Practitioner (NP) - Surgery - Orthopedic - $185,000 to $215,000 per year in Umatilla County, OR

LocumJobsOnlineSalem, Oregon, US
serp_jobs.job_card.full_time +2
LocumJobsOnline is working with Opportunity Healthcare to find a qualified Orthopedic Surgery NP in Umatilla County, Oregon, 97801!. Orthopedics Nurse Practitioner job in Umatilla County, OR — offer...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Surgery - Orthopedic in La Grande, OR

Nurse Practitioner (NP) - Surgery - Orthopedic in La Grande, OR

LocumJobsOnlineSalem, Oregon, US
serp_jobs.job_card.full_time
LocumJobsOnline is working with CompHealth to find a qualified Orthopedic Surgery NP in La Grande, Oregon, 97850!.Non Profit Critical Access Hospital in Northeastern Oregon is seeking an experience...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Hospice Access RN

Hospice Access RN

Providence Health and ServicesHillsboro, OR, US
serp_jobs.job_card.part_time
Description This part time (32 hours / week) position will be working variable days and evenings.This role will be traveling to see hospice patients primari...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Clinic Registered Nurse - PMG N MERCANTILE

Clinic Registered Nurse - PMG N MERCANTILE

Providence Health and ServicesLake Oswego, OR, US
serp_jobs.job_card.full_time
Description The Journey Clinic RN provides comprehensive nursing care for patients in an ambulatory care environment based on individual physical, emotion...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Infusion RN - HEM ONC NBRG

Infusion RN - HEM ONC NBRG

Providence Health and ServicesNewberg, OR, US
serp_jobs.job_card.part_time
Description The Registered Nurse (RN) provides professional, comprehensive nursing care for patients in an oncology clinic or infusion center environment....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Neonatal in Bend, OR

Nurse Practitioner (NP) - Neonatal in Bend, OR

LocumJobsOnlineSalem, Oregon, US
serp_jobs.job_card.full_time +2
LocumJobsOnline is working with CompHealth to find a qualified Neonatal NP in Bend, Oregon, 97701!.Our client, located in Central Oregon, is seeking a part-time Neonatal NP / PA for their Level III N...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Urology - $156,000 per year in Josephine County, OR

Nurse Practitioner (NP) - Urology - $156,000 per year in Josephine County, OR

LocumJobsOnlineSalem, Oregon, US
serp_jobs.job_card.full_time +1
LocumJobsOnline is working with Opportunity Healthcare to find a qualified Urology NP in Josephine County, Oregon, 97543!. Urology Nurse Practitioner job in Josephine County, OR — offering up to $15...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
RN - Respiratory Cardiac Care

RN - Respiratory Cardiac Care

Providence Health and ServicesClackamas, OR, US
serp_jobs.job_card.full_time
Description RN – Respiratory Cardiac Care Unit at Providence Portland Medical Center.FTE, day shift opening (7am-7 : 30pm, 3, 12 hour shifts p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
RN - LDRP

RN - LDRP

Providence Health and ServicesHillsboro, OR, US
serp_jobs.job_card.full_time
Description RN – LDRP at Providence Newberg Medical Center.FTE, night shift opening (7pm-7 : 30am, 3, 12 hour shifts per week) with rotating w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Nurse Practitioner (NP) - Geriatrics - $110,000 to $155,000 per year in Fort Klamath, OR

Nurse Practitioner (NP) - Geriatrics - $110,000 to $155,000 per year in Fort Klamath, OR

LocumJobsOnlineSalem, Oregon, US
serp_jobs.job_card.full_time +1
LocumJobsOnline is working with Lancesoft Inc to find a qualified Geriatrics NP in Fort Klamath, Oregon, 97626!.Make a difference in your life — and theirs. Step into a rewarding role where.Join a t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30